Feasibility and accuracy in performing complete mesocolic excision during laparoscopic left colectomy.

Feasibility and accuracy in performing complete mesocolic excision during laparoscopic left colectomy. Ann Ital Chir. 2016;87:601-607 Authors: Vecchio R, Intagliata E, Basile F, La Corte F, Marchese S Abstract Laparoscopic colorectal surgery for cancer is nowadays performed in several referral centers and has been gaining increasing interest for treatment of colo-rectal cancer. After the introduction of complete mesorectal excision for rectal cancer, complete mesocolic excision has been advocated as an essential surgical step to improve oncologic results for patients with colon cancer. Complete mesocolic excision is a crucial step of hemicolectomy, and consists in the total removal of the mesocolon and its lymph nodes with high ligation of main mesenteric arteries and veins. In laparoscopic surgery, magnification of the images and gas dissection might probably improve the precision and safety of this surgical step. In this paper, the Authors reviewed the Literature and discussed on the feasibility and accuracy of complete mesocolic excision performed during laparoscopic left colectomy for cancer in a preliminary series. KEY WORDS: Colic lymph nodes, Laparoscopic left hemicolectomy, Mesocolon excision. PMID: 28070026 [PubMed - in process]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research

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CONCLUSIONS: Our cumulative findings support the use of SILS or SILS+1 in patients with colorectal cancer. The long-term oncologic outcomes make them acceptable technical alternatives to conventional multiport laparoscopic colectomy. Further trials are still needed to fully document the non-cosmetic benefits. PMID: 32196563 [PubMed - as supplied by publisher]
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research
ConclusionsMore extended resections seem not to confer an increase of the overall survival rate.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
CONCLUSIONS: A robotic approach during the proctectomy and IPAA offers significant advantages to a laparoscopic approach, expanding our armamentarium of minimally invasive surgical techniques to IPAA.
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Technical Note Source Type: research
Conclusion: Convergence of transabdominal and transanal technology and technique allows accuracy in combination operative performance. Nuanced appreciation of transperineal operative access should allow specified standardisation and innovation.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
Abstract A 75‐year‐old man tested positive for occult blood in the stool. A subsequent examination indicated concurrent locally advanced cancer (cT3) at the hepatic flexure and lower rectum cancer in the external anal sphincter. Because of the locally advanced rectal cancer (cT4), preoperative chemoradiotherapy was administered. First, laparoscopic right hemicolectomy and colostomy were performed at the sigmoid colon. Chemoradiotherapy for rectal cancer was initiated on day 18 after the surgeries. Seven weeks after chemoradiotherapy had been completed, laparoscopic abdominoperineal resection and right lateral pelvic ly...
Source: Asian Journal of Endoscopic Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
Authors: Mabardy A, Miller P, Goldstein R, Coury J, Hackford A, Dao H Abstract BACKGROUND AND OBJECTIVES: Colonic stenting has been used in the setting of malignant obstruction to avoid an emergent colectomy. We sought to determine whether preoperative placement of a colonic stent decreases morbidity and the rate of colostomy formation. METHODS: Cases of obstructing sigmoid, rectosigmoid, and rectal cancer from January 1, 2010, to December 31, 2011, were identified in the Nationwide Inpatient Sample (NIS) database. All patients were treated at hospitals in the United States, and the database generated national ...
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
Abstract The introduction of laparoscopy is an example of surgical innovation with a rapid implementation in many areas of surgery. A large number of controlled studies and meta-analyses have shown that laparoscopic colorectal surgery is associated with the same benefits than other minimally invasive procedures, including lesser pain, earlier recovery of bowel transit and shorter hospital stay. On the other hand, despite initial concerns about oncological safety, well-designed prospective randomized multicentre trials have demonstrated that oncological outcomes of laparoscopy and open surgery are similar. Although...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
Authors: Higashijima J, Shimada M, Iwata T, Yoshikawa K, Nakao T, Nishi M, Kashihara H, Takasu C Abstract BACKGROUND: Lymph nodes (LNs) dissection around inferior mesenteric artery (IMA) with left colic artery (LCA) preservation is difficult due to the anatomical feature of IMA. The aim of this study is to evaluate the usefulness of new ports placement inserted from a suprapubic region in laparoscopic LNs dissection around IMA with LCA preservation for sigmoid colon and ractal cancer. METHODS: Twenty-two patients who underwent laparoscopic colectomy for sigmoid colon and recal cancer were included. The new port...
Source: Journal of Medical Investigation - Category: Journals (General) Tags: J Med Invest Source Type: research
Clinics in Colon and Rectal Surgery 2015; 28: 181-193DOI: 10.1055/s-0035-1555009Since the advent of laparoscopy, minimally invasive techniques such as single port laparoscopy, robotics, endoscopically assisted laparoscopy, and transanal endoscopic surgery continue to revolutionize the field of colorectal surgery. Transanal natural orifice transluminal endoscopic surgery (NOTES) represents a further paradigm shift by combining the advantages of these earlier techniques to reduce the size and number of abdominal incisions and potentially optimize rectal dissection, especially with respect to performance of an oncologically a...
Source: Clinics in Colon and Rectal Surgery - Category: Surgery Authors: Source Type: research
Conclusions Our results suggest that colorectal cancer patients with minor PAS or patients with prior radical hysterectomy can be effectively managed with a laparoscopic approach. In addition, laparoscopy can be selected as the primary surgical approach even in patients with major PAS (prior gastrectomy or colectomy) given the assumption of a higher conversion rate.
Source: PLoS One - Category: Biomedical Science Authors: Source Type: research
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